Active NPI
Mericare Health and Wellness
- Family Medicine Physician
- Bronx, NY
National Provider Identifier
1407625635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- MERICARE HEALTH AND WELLNESS
- Practice address
- 1050 E 215TH St
Bronx, NY 10469-1307 - Phone
- (646) 671-2807
- NPI assigned
- Dec 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Cho, MD
- Title
- Medical Director
- Phone
- (202) 725-3281
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| General Practice Physician | 208D00000X |
Addresses
Primary practice location
1050 E 215TH St
Bronx, NY 10469-1307
Mailing address
1800 H St NE
Washington, DC 20002-4018
Phone (646) 671-2807
Other practice location 1
1412 Crain Hwy N Ste 7B
Glen Burnie, MD 21061-9306
Phone (646) 671-2807
Other practice location 2
1800 H St NE
Washington, DC 20002-4018
Phone (646) 671-2807
National Provider Directory
National Provider DirectoryLocations
1412 Crain Hwy N
Ste 7B
Glen Burnie, MD 21061
Phone (646) 671-2807
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706572800000",
"number": "1407625635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 H ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200024018",
"telephone_number": "646-671-2807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 E 215TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104691307",
"telephone_number": "646-671-2807"
}
],
"practiceLocations": [
{
"address_1": "1412 Crain Hwy N Ste 7B",
"address_purpose": "LOCATION",
"city": "Glen Burnie",
"state": "MD",
"postal_code": "210619306",
"country_code": "US",
"telephone_number": "646-671-2807",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 H St NE",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200024018",
"country_code": "US",
"telephone_number": "646-671-2807",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MERICARE HEALTH AND WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-28",
"last_updated": "2024-01-30",
"certification_date": "2024-01-30",
"status": "A",
"authorized_official_last_name": "CHO",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "202-725-3281",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.